The installation
of 19.1.14 could take several hours. QS/1 recommends that you update your
system after business hours.The installation
of 19.1.14 could take several hours. QS/1 recommends that you update your
system after business hours.
Legal Requests
Security Options/Password Expiration Days
Updated Security Options to require employees marked as Administrator to change their password based on expiration days set for Electronic Prescribing of Controlled Substances (EPCS). If the option, Controlled Substance Processing, in Store Control/Store Level Options/Rx Filling/Electronic Prescribing Options is Checked, employees flagged as administrator must follow the setting guidelines in Store Control/Security Access/Security Options for Password Expiration Days.
Counseling Required for New Rx
Modified the 'Counseling Required for New Rx' feature to log who offered the counseling and who provided counseling. Options added to the Counseling screen include:
Counseling Provided - Select the pharmacist who provided the counseling from the pharmacist scan
ICD-10 Codes
Implemented First Databank (FDB) Medical LexiconTM 2.0. A new file is loaded during clinicial updates that contains ICD-9 and ICD-10 files from FDB. Updated patient, prescription, outcomes, price plans, etc. and any checks/billing (clinical) records to use Lexicon 2.0 for ICD-9 and ICD-10. New fields and functions include:
Store Control, Pricing Options, Price Plans, Plan Parameter Options:
Renamed Send Diagnosis Code to Send ICD-9 Diagnosis Code
Added Send ICD-10 Diagnosis Code. Default = Unchecked
Both options cannot be selected. If both are checked and saved, the message, Only ICD-9 Diagnosis Code or ICD-10 Diagnosis Code is Allowed, displays.
Store Control, Pricing Options, Price Plans, Messages:
Renamed the Price Plan Message ICD-9 is Blank to Rx Diagnosis is Blank or Wrong Type. The option looks for ICD-9 or ICD-10 when filling or refilling a prescription. If the System Date is PRIOR to 10/01/2015, the ICD-9 Code is populated. If the System Date is EQUAL to or AFTER 10/01/2015, the ICD-10 Code is populated.
Updated the Price Plan Message Diagnosis Required for Drug to look for ICD-9 or ICD-10 when filling or refilling a prescription. If the System Date is PRIOR to 10/01/2015, the ICD-9 Code is populated. If the System Date is EQUAL to or AFTER 10/01/2015, the ICD-10 Code is populated.
Store Control, Store Level Options, Clinical Checking:
Added Display Warning if Patient ICD-10 is Blank. Default = Unchecked.
Patient Record
When the Patient Record is accessed and the clinical checking option above (Display Warning if Patient ICD-10 is Blank) = Y, a warning displays when ONLY ICD-9 Medical Conditions exist for the patient. This message continues to display until an ICD-10 Code is added to the Patient Record, Medical Conditions screen.
The Patient Record Medical Conditions screen incorporates new fields and functionality for ICD-10 Codes. Changes include:
Adding No Known Medical Conditions
Renamed ICD-9 column to Code
Added Type column to the right of Code. This column displays ICD-9, ICD-10 or both. Select the Type from the Display Options drop-down list.
The Patient Chart Progress Notes screen displays updated Patient Medical and Alternate Conditions when New Note is selected from Patient Progress Notes. Before October 2014, ICD-9 Codes display first, then ICD-10 Codes. After October 2014, ICD-10 Codes display first, then ICD-9 Codes.
e-Prescription New Order Screens
Added Diagnosis field on Step 2 - New Electronic Prescription From Prescriber. If the ICD Code Type = 01, 02 or 03, it is saved as ICD-10. If Code Type is 03, it is saved as ICD-10.
Rx Processing
Updated Bill through HME program to send the Rx Diagnosis/Medical Condition as ICD-9 or ICD-10.
Clinical Checking
Updated Clinical Checking for Patient Medical Conditions and Drug-Disease Contraindication to use the FDB Medical Lexicon 2.0 tables.
Fastclaim
Updated process for Primary, Secondary and Tertiary claim transmittal to submit up to five (5) Rx Diagnosis Codes as ICD-9 and five (5) Rx Diagnosis Codes as ICD-10. Diagnosis codes are determined by the settings on the Price Plan.
Security Journals
Updated the Patient Security Journal - Medical Condition Type M0 for ICD-10
Updated the Prescription File - Rx Diagnosis for Type ICD-10
Price Plan/Patient Record Batch File Updates
Added the option to update ICD-9 and ICD-10 Codes in the batch update process.
File Maintenance
Updated Store Information, Patient, Patient Outcome and Rx File to include additional fields for ICD-10 changes. Maintenance options include Copy, Clear, Reload, Automatic File Purge, Compress and Rebuild Key. This change does not apply to new FDB Files.
Clinical Data CD Updates
Updated programs that load FDB Clinical Files from CD to include FDB FML 2.0 Files.
Updated reports to support ICD-10 Codes. Added the report, Patient Medical Conditions List, to the Patient report menu. Click here for Select, Sort and Print Options. Click here for a sample report.
Updated Label Routines to support ICD-10 Codes:
Routine 483 = ICD:
Routine 496 = RX ICD Code
Routine 497 = RX ICD Description
Nursing Home Forms that print ICD-9 codes now have the option to print ICD-10 Codes.
Updated batch third party forms that currently print ICD-9 Codes to print ICD-10 Codes. A new box on the 02-12 1500 Form indicates if an ICD-9 or ICD-10 is printed. 9 = ICD-9 and 0 = ICD-10.
Updated HME Compliance Documentation to incorporate ICD-10 Codes when printing Mobility Assistive Equipment (MAE) Forms and Physician Orders.
Send NDC # on DUR Response
The State of Virginia will soon require the Co-Agent ID and Qualifier to be sent on DUR responses. The Co-Agent is the NDC # of the conflicting drug. This new feature gives the customer the ability to submit this information from the log scan when responding to a DUR.
Added a flag, Send NDC # on DUR Response, to the Price Plan, Plan Parameter Information screen. Check this flag on all pay plans that require the NDC # on DUR Responses.
When this flag is checked, a new window displays during the DUR Conflict Response procedure which allows the user to type the NDC or click the arrows to access the Patient Profile. Double click the prescription on the profile and the NDC from the drug dispensed populates. The qualifier 03 is sent to identify it as an NDC #. Click here to view the DUR Conflict Response Procedure screens.
Restrict # of Times Controlled Substances are Transferred
The State of Massachusetts only allows controlled substance prescriptions to be transferred between pharmacies or pharmacy departments on a one-time basis. Added the option, Single Transfer only of C3-5 Rx, to Store Control/Store Level Options/Rx Filling. The default = Unchecked/N. If the prescription has already been transferred the message, Single Transfer enabled/Previously transferred on mm/dd/yyyy, displays at the bottom of the screen.
Restrict Refills for Specific Drugs
The State of Oklahoma does not allow refills for any prescription containing Hydrocodone and the State of West Virginia only allows a maximum of two refills. Added the message, Refills Not Allowed for Drug, to the Price Plan/Messages screen. Added the options, Allow Refills and Maximum #, to the Drug Record/Additional Information screen.
When the Price Plan Message Refills Not Allowed for Drug = N and the Drug Record option Allow Refills = N, the system will not allow a new prescription to be filled if Refills Authorized or Refills Remaining are populated. A prescription can be filled for a Partial Fill if the Quantity Authorized is populated and Quantity Remaining is less than Quantity Authorized.
A refill prescription cannot be refilled unless it was originally for a partial fill and Do Partial Fill was originally on when the prescription was created. The prescription can be refilled until the original quantity authorized has been fulfilled. For example: The prescription was written for Quantity Authorized = 100 and the patient only wants Qty Dispensed = 20. The prescription can be partially filled until 100 has been met. This must be allowed by the Price Plan.
Added Allow Refills to Drug Record Select, Sort and Print Options.
Updated the Drug File Security Journal to record changes to Allow Refills.
Added Refills Not Allowed for Drug to Price Plan and Drug File Batch Update programs.
New York Mandate for Rx Transfers
The State of New York allows the transfer of only one prescription refill per transfer. To set the transfer limit, access Store Control, Store Level Options, Rx Filling. Type 01 in Number of Refills to Transfer. A Transfer Record is created for each transfer performed on a prescription. When the transfer information screen displays from the Rx Summary, click Save Transfer to save information entered on the screen. NOTE: Transfer information is not automatically saved.
The Transfer History icon displays on any prescription that has been transferred. Information includes:
Incoming or Outgoing
Transfer Date
Pharmacy Name
Authorized Refills
Transferred Refills
Remaining Refills
Initials of RPh Who Performed Transfer
Note
A new transfer can be performed from the Transfer History Scan.
New Label Routines, 727 - 749 can be used to print transfer details.
In a Host/Remote or Central situation, when a prescription that was created
at another store is accessed, a window displays the number of refills
to transfer. This number defaults from the Store Level Option.
NY PMP Reporting Based on Date Sold/Delivered
Beginning October 1, 2014, the New York Bureau of Narcotic Enforcement (NY BNE) implemented changes to the PMP. All data submitted to NY BNE must be submitted using ASAP 4.2. Previously accepted formats, ASAP 4.0 and 4.1, arel no longer be accepted.
NY BNE requires that the Date Sold (DSP 17) field be reported in the ASAP 4.2 format. The following definition of Date Sold is provided by NY BNE:
This field is used to capture the date the controlled substance left the pharmacy (delivery to the patient, not the date it was filled, if the dates differ). Date Filled (DSP 05) will continue to be a required data element. If the prescription is filled and delivered to the patient on the same day, the Date Sold and Date Filled fields will contain the same date.
Click here to review the letter from the NY BNE regarding this new reporting requirement.
Reports
Drug Inventory Report
Added the ability to pull the Misc2 field for the Drug Inventory Report. The Print Option Use MISC1 Cst is now the Use MISC Cost option. Valid entries are:
NO = Print ACQ
YES = Print MISC1
YES2 = Print MISC2
Prescription Processing
QR Code Label Routine for Drug Information
MedsOnCue from VUCA Health provides access to prescription-specific videos via a QR code on customized prescription labels. The videos, available in English or Spanish, provide comprehensive medication information such as usage, benefits and potential side effects. Click here to view a sample video. Contact QS/1 at database[email protected] or 800.845.7558, ext. 1424 for information.
Updated e-Prescription Queue
Added new feature to prevent
backups in the e-Prescription Queue. The option, 
,
was removed from the Electronic Claims Log task bar. Click
to display the new
Mail Log. All e-Prescribing messages now display in
this Log. When QS/1 Mail is selected from the ECS log, the Mail Log displays.
The tool bar icons available from the Mail Log:
Refresh - Move to top
Previous - Go to previous screen
Next - Go to next screen
QS/1 Mail - check for e-Prescribing messages
The column options on the Mail Log:
Function key option
Date - mm/dd/yy
Time - hh:mm
Rx Number - displays only on a Refill Request
Message Type:
Mail Inquiry - Displays when a Get Message is performed
Refill Request - Displays when a refill request is generated by the user
New Rx - Displays when a New Rx is received
Refill Response - Displays when a Refill Response is received
Verify - Only displays when the verify message fails
Status (No Msg, Failed, Rejected, Delivered, Received, Mail Error)
If rejected, a message box displays with the error when the line is double-clicked or when the function key is pressed
The message box displays the message returned from e-Prescribing vendor
The message box displays an icon at the top labeled Prescription which displays the Rx Summary screen
The Mail Log has a check box at the top of the screen labeled Errors Only. When selected, the queue displays messages that failed or were rejected. The most current message is listed at the top of the scan.
Drug Record
RxNorm
Added the field, Term Type, to the Drug Record. This field is for future use in conjunction with RxNorm. RxNorm supplies normalized names for clinical drugs and links these names to drug vocabularies used in pharmacy management.
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